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.fields { }
.info ul {list-style-type:disc !important;margin-left: 20px;}
li[typ="html"] ul{list-style-type:disc !important;margin-left: 20px;}
li[typ="section"] ul{list-style-type:disc !important;margin-left: 20px;}
</style> 
  <style type="text/css">@CHARSET "UTF-8";
.wallpaper{background-image:url('http://jsformthemes.hodoop.com/bg_motif_blue_3.jpg');background-size:cover;background-position:50% 0px;background-repeat:no-repeat;background-color:rgba(0, 0, 0, 0);background-attachment:fixed;}
.container{background-color:rgba(255, 255, 255, 0.3);border-style:none;border-width:0px;border-color:rgb(84, 84, 84);box-shadow:0 0 5px rgba(0, 0, 0, 0.2);}
.controlgroup>label{border-bottom: 1px solid #eeeeee;border-left: 1px solid #eeeeee;border-right: 1px solid #eeeeee;}
.controlgroup>label.first{border-top: 1px solid #eeeeee;}
.logo{background-color:rgb(75, 156, 201);}
.logo a{background-image:url('http://jsformthemes.hodoop.com/logo_motif_blue_3.jpg');background-size:cover;height:280px;}
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.input{font-family:微软雅黑;font-style:normal;font-weight:400;font-size:100%;text-align:inherit;color:rgb(84, 84, 84);background-color:rgb(255, 255, 255);border-style:solid;border-width:1px;border-color:rgb(221, 221, 221);}
.form table th{border-style:solid;border-width:1px;border-color:#999999;}
.form table td{border-style:solid;border-width:1px;border-color:#999999;}
.instruct{background-color:rgba(0, 0, 0, 0);font-family:微软雅黑;font-style:normal;font-weight:400;font-size:90%;text-align:left;color:rgb(118, 118, 118);border-style:none;border-width:0px;border-color:rgb(118, 118, 118);}
.content span{font-family:微软雅黑;font-style:normal;font-weight:400;font-size:100%;color:rgb(84, 84, 84);}
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.section-desc{font-family:微软雅黑;font-style:normal;font-weight:normal;font-size:100%;text-align:inherit;color:#222222;}
.pc-submit{text-align:center;}
.btn-submit{background-color:rgb(204, 204, 204);font-family:微软雅黑;font-style:normal;font-weight:400;font-size:90%;text-align:center;color:rgb(84, 84, 84);border-style:solid;border-width:1px;border-color:rgba(0, 0, 0, 0);}
#form1 .btn{background-color:rgb(204, 204, 204);color:rgb(84, 84, 84);border-color:rgba(0, 0, 0, 0);}
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.layui-btn-lg {height: 44px;line-height: 44px;padding: 0 25px;font-size: 16px;}
.layui-btn {display: inline-block;height: 38px;line-height: 38px;padding: 0 18px;background-color: #009688;color: #fff;white-space: nowrap;text-align: center;font-size: 14px;border: none;border-radius: 2px;cursor: pointer;vertical-align: middle;outline: 0;-webkit-appearance: none;transition: all .3s;-webkit-transition: all .3s;box-sizing: border-box;}
.tip {width:80px;display: inline-block;text-align:right;}
.fieldInstruct {font-size:16px;}
</style> 
 </head> 
 <body class="wallpaper"> 
  <div id="container" class="container"> 
   <h1 id="logo" class="logo" style="position:relative;"> <a></a> </h1> 
   <form id="frm" class="form" action="" method="post">   
    <div class="info" id="formHeader"> 
     <h2>请准确填写以下信息</h2> 
    </div> 
    <ul id="fields" class="fields"> 
     <li class="fieldInstruct field_li_for_logic" typ="text" reqd="1" reqdtxt=""><label class="desc"><span class="tip">姓名</span> <span class="req">*</span> <input type="text" maxlength="256" name="nm" class="input fld m" /></label> </li> 
     <li class="fieldInstruct field_li_for_logic" typ="phone" reqd="1" reqdtxt=""><label class="desc"><span class="tip">手机</span> <span class="req">*</span> <input type="text" maxlength="11" fmt="mobile" class="m phone input fld" name="mb" /></label> 
     <li class="fieldInstruct field_li_for_logic" typ="text" reqd="1" reqdtxt=""><label class="desc"><span class="tip">医院</span> <span class="req">*</span> <input type="text" maxlength="256" name="hp" class="input fld m" /></label> <label class="content"> </label></li> 
     <li class="fieldInstruct field_li_for_logic" typ="number" ><label class="desc"><span class="tip">资格证书</span> <span class="req">*</span> <input type="text" maxlength="16" name="zg" class="number input fld m" /></label> </li> 
	 <li class="fieldInstruct field_li_for_logic" style="font-size:16px;" ><label class="desc"> <input type="checkbox"  name="chk" class="" /><span> 本人对以上信息内容的真实性负责</span> </li> 
     <li class="pc-submit field_li_for_logic"><input id="btn" type="button" class="layui-btn layui-btn-lg"  value="提交" /></li> 
    </ul> 
   </form> 
  </div>  

 </body>
</html>